Individual
KEVIN KATHLEEN M MENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1103 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5783
(337) 234-5234
Mailing address
1103 KALISTE SALOOM RD STE 100, LAFAYETTE, LA 70508-5784
(337) 234-5234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
10/16/2021
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